Survival of elderly patients with stage 5 CKD: comparison of conservative management and renal replacement therapy
Shahid M. Chandna,Maria Da Silva-Gane,Catherine Marshall,Paul Warwicker,Roger Greenwood,Ken Farrington +5 more
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TLDR
In patients aged > 75 years with high extra-renal comorbidity, the survival advantage conferred by RRT over CM is likely to be small and age >75 years and female gender independently predicted better survival.Abstract:
© The Author 2010. Published by Oxford University Press on behalf of the ERA-EDTA. All rights reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.5), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly citedread more
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Journal ArticleDOI
Chronic kidney disease and the aging population
TL;DR: The 9 th World Kidney Day (WKD) 2014 as mentioned in this paper is the most successful effort to raise awareness among policymakers and the general public about the importance of kidney disease.
Journal ArticleDOI
Survival advantage of initiating dialysis in elderly and non-elderly incident end-stage kidney disease patients.
Chin Chin Ch'ng,Loke Meng Ong,Kelvin Khai Meng Beh,Wan Shaariah Md Yusuf,Thian Fook Chew,Ming Lee Lee,Lai Seong Hooi,Hin Seng Wong,Shahnaz Shah Firdaus Khan,Ghazali Ahmad +9 more
TL;DR: This work aims to determine survival advantage of initiating dialysis in patients deemed to require RRT, and to determine current dialysis guidelines may not be relevant for the elderly or frail patients.
Journal ArticleDOI
The need for training in palliative care for physicians in other specialties: Brazilian nephrologists empowerment (or appropriation) on renal supportive care.
Alze Pereira dos Santos Tavares,Carmen Tzanno-Matins,Marcio José Cristiano Arruda,Bárbara Antunes +3 more
TL;DR: Brazilian nephrologists are often unaware of patient autonomy, more prone to withholding than withdrawing dialysis and deem wishes of the family quasi as important as patient preferences in the shared decision making process.
Journal ArticleDOI
Chronic kidney disease and the aging population.
TL;DR: The key links between kidney function, age, health and illness are reviewed – and the implications of the aging population for the care of people with CKD are discussed.
Strukturirani predijalizni edukacijski program - desetogodišnje iskustvo kliničkog bolničkog centra rijeka
Bosiljka Devčić,Božidar Vujičić,Ivan Bubić,Lidija Orlić,Daniel Victor Šimac,Stela Živčić Ćosić,Sanjin Rački +6 more
TL;DR: Whether structured predialysis program affects the choice of treatment, method and timing of treatment initiation in all patients, with special reference to older adult patients is determined, and continuation with greater emphasis on planned, extended diagnosis after the first patient referral is opened up.
References
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Functional Status of Elderly Adults before and after Initiation of Dialysis
Manjula Kurella Tamura,Kenneth E. Covinsky,Glenn M. Chertow,Kristine Yaffe,C. Seth Landefeld,Charles E. McCulloch +5 more
TL;DR: The initiation of dialysis is associated with a substantial and sustained decline in functional status among nursing home residents with ESRD, and this decline was independent of age, sex, race, and functional-status trajectory before the initiation ofdialysis.
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Gender differences in insulin resistance, body composition, and energy balance.
Eliza B. Geer,Wei Shen +1 more
TL;DR: Greater amounts of visceral and hepatic adipose tissue, in conjunction with the lack of a possible protective effect of estrogen, may be related to higher insulin resistance in men compared with women.
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Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5
Fliss E M Murtagh,James E. Marsh,Paul Donohoe,Nasirul J. Ekbal,Neil S. Sheerin,Fiona E. Harris +5 more
TL;DR: In CKD stage 5 patients over 75 years, who receive specialist nephrological care early, and who follow a planned management pathway, the survival advantage of dialysis is substantially reduced by comorbidity and ischaemic heart disease in particular.
Journal ArticleDOI
Is Maximum Conservative Management an Equivalent Treatment Option to Dialysis for Elderly Patients with Significant Comorbid Disease
TL;DR: Dialysis prolongs survival for elderly patients who have ESRD with significant comorbidity by approximately 2 yr; however, patients who choose MCM can survive a substantial length of time, achieving similar numbers of hospital-free days to patients who choice hemodialysis.
Journal ArticleDOI
Octogenarians Reaching End-Stage Renal Disease: Cohort Study of Decision-Making and Clinical Outcomes
Dominique Joly,Dany Anglicheau,Corinne Alberti,Anh-Thu Nguyen,Malik Touam,Jean-Pierre Grünfeld,Paul Jungers +6 more
TL;DR: It is concluded that beside a patient's individual refusal, late referral, social isolation, low functional capacity, and diabetes may have oriented medical decision toward withholding dialysis in a significant proportion of pre-ESRD octogenarians.